Yewande Salamotu Sanusi, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95027054 Issued in CA

Practice address

7214 Birdview Ave
Malibu, CA 90265-4111

Phone

(424) 388-2980

NPI assigned

Aug 6, 2024

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Specialty

Nurse Practitioner

Education

Other, 2025

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1722902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722902400000",
    "number": "1285464123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16819 S NORMANDIE AVE APT 217",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902476329",
            "telephone_number": "310-462-5008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7214 BIRDVIEW AVE",
            "city": "MALIBU",
            "state": "CA",
            "postal_code": "902654111",
            "telephone_number": "424-388-2980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANUSI",
        "first_name": "YEWANDE",
        "middle_name": "SALAMOTU",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-06",
        "last_updated": "2024-08-06",
        "certification_date": "2024-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95027054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen C. Ross, MFT
• Maggie Marie Rubben, CMT
• Samuel Joseph Sachnoff, LCSW
• Nancy Safinick, P.A.
• Makenna Samsel, PPS
• Karissa Ann Scherer, MS, ATC
• Samantha Erin Schlossmann, PSY.D
• Scott Campbell Physical Therapy
• E. Hitchcock Scott, LPCC917, LAADC
• Seaside Recovery Centers, LLC. (Seasons in Malibu)

• Family Nurse Practitioner in Malibu, CA
• Providers in Malibu, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.